Zhou Tian-Yi, Han Qing, Wang Feng, Gao Peng-Fei, Zhu Jie, Li Jing
Department of TCM, Jinshan Hospital Affiliated to Fudan University, Shanghai 201508, China.
Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of TCM.
Zhongguo Zhen Jiu. 2023 Aug 12;43(8):911-5. doi: 10.13703/j.0255-2930.20221118-k0004.
To compare the clinical effect of conventional acupuncture combined with pricking and cupping at area and conventional acupuncture in the treatment of scapulohumeral periarthritis of frozen stage.
A total of 66 patients with scapulohumeral periarthritis of frozen stage were randomly divided into a combination group (31 cases) and an acupuncture group (35 cases, 1 case dropped off). Both groups were given functional exercise. Patients in the acupuncture group were treated with acupuncture at Jianyu (LI 15), Jianliao (TE 14), Binao (LI 14) and point on the affected side, once every other day, three times a week, for a total of 4 weeks. On the basis of treatment in the acupuncture group, the patients in the combination group were treated with pricking and cupping at area (the area surrounded by the 3 acupoints of Tianzong [SI 11], Naoshu [SI 10] and Jianzhen [SI 9]), once a week for 4 weeks. The University of California-Los Angeles (UCLA) shoulder joint score, visual analogue scale (VAS) score before treatment, after treatment and after 6 months of treatment completion (follow-up) and tenderness threshold before and after treatment, and the clinical effects of the two groups after treatment and in follow-up were evaluated.
In the two groups, after treatment and in follow-up, the UCLA shoulder joint scores were higher than those before treatment (<0.05), and the VAS scores were lower than those before treatment (<0.05). In the combination group, after treatment and in follow-up, the UCLA shoulder joint score was higher than that of the acupuncture group (<0.05), and the VAS score was lower than that of the acupuncture group (<0.05). After treatment, the tenderness thresholds of the two groups were higher than those before treatment (<0.05), and the tenderness threshold in the combination group was higher than that in the acupuncture group (<0.05). After treatment and in follow-up, the cured and markedly effective rate of the combination group was 48.4% (15/31) and 51.6% (16/31) respectively, which was higher than 23.5% (8/34) and 23.5% (8/34) of the acupuncture group (<0.05).
Pricking and cupping in area combined with conventional acupuncture can improve shoulder joint function and relieve shoulder joint pain in patients with scapulohumeral periarthritis of frozen stage, and the curative effect is better than that of single conventional acupuncture.
比较常规针刺联合特定区域点刺拔罐与常规针刺治疗冻结期肩周炎的临床疗效。
将66例冻结期肩周炎患者随机分为联合组（31例）和针刺组（35例，脱落1例）。两组均给予功能锻炼。针刺组患者取患侧肩髃（LI 15）、肩髎（TE 14）、臂臑（LI 14）及某穴位针刺治疗，隔日1次，每周3次，共治疗4周。联合组在针刺组治疗基础上，加用特定区域（天宗[SI 11]、臑俞[SI 10]、肩贞[SI 9]三穴围成的区域）点刺拔罐治疗，每周1次，共4周。评估两组治疗前、治疗后及治疗结束后6个月（随访）的加州大学洛杉矶分校（UCLA）肩关节评分、视觉模拟评分法（VAS）评分及治疗前后的压痛阈，以及两组治疗后及随访时的临床疗效。
两组治疗后及随访时，UCLA肩关节评分均高于治疗前（P<0.05），VAS评分均低于治疗前（P<0.05）。联合组治疗后及随访时，UCLA肩关节评分高于针刺组（P<0.05），VAS评分低于针刺组（P<0.05）。治疗后，两组压痛阈均高于治疗前（P<0.05），联合组压痛阈高于针刺组（P<0.05）。治疗后及随访时，联合组治愈率为48.4%（15/31），显效率为51.6%（16/31），高于针刺组的23.5%（8/34）和23.5%（8/34）（P<0.05）。
特定区域点刺拔罐联合常规针刺可改善冻结期肩周炎患者肩关节功能，缓解肩关节疼痛，疗效优于单纯常规针刺。
